scholarly journals Factors influencing self-management in patients with type 2 diabetes in general practice: a qualitative study

2019 ◽  
Vol 25 (2) ◽  
pp. 176 ◽  
Author(s):  
Julie Dao ◽  
Catherine Spooner ◽  
Winston Lo ◽  
Mark F. Harris
Keyword(s):  
Type 2 Diabetes ◽  
General Practice ◽  
Health Literacy ◽  
Ecological Model ◽  
Qualitative Interviews ◽  
Self Management ◽  
Factors Influencing ◽  
Wide Range ◽  
Four Levels

Many Australian adults with type 2 diabetes mellitus (T2DM) do not follow recommended self-management behaviours that could prevent or delay complications. This exploratory study aimed to investigate the factors influencing self-management of T2DM in general practice. Semi-structured qualitative interviews were conducted with patients with T2DM (n = 10) and their GPs (n = 4) and practice nurses (n = 3) in a low socioeconomic area of Sydney, New South Wales, Australia. The interviews were analysed thematically using the socio-ecological model as a framework for coding. Additional themes were derived inductively based on the explicitly stated meaning of the text. Factors influencing self-management occurred on four levels of the socio-ecological model: individual (e-health literacy, motivation, time constraints); interpersonal (family and friends, T2DM education, patient-provider relationship); organisational (affordability, multidisciplinary care); and community levels (culture, self-management resources). Multi-level strategies are needed to address this wide range of factors that are beyond the scope of single services or organisations. These could include tailoring health education and resources to e-health literacy and culture; attention to social networks and the patient–provider relationship; and facilitating access to affordable on-site allied health services.

Type 2 diabetes self-management schemas across diverse health literacy levels: a qualitative investigation

2021 ◽  
pp. 1-21
Author(s):  
Julie Ayre ◽  
Carissa Bonner ◽  
Danielle M. Muscat ◽  
Sian Bramwell ◽  
Sharon McClelland ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Literacy ◽  
Self Management ◽  
Qualitative Investigation

scholarly journals Association of health literacy and diabetes self-management: a systematic review

2019 ◽  
Vol 25 (6) ◽  
pp. 526 ◽  
Author(s):  
Padam K. Dahal ◽  
Hassan Hosseinzadeh
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Literacy ◽  
Self Management ◽  
Foot Care ◽  
Community Based Interventions ◽  
Community Based ◽  
Randomised Control Trials

The purpose of this review is to summarise the existing evidence about the association of health literacy (HL) with type 2 diabetes mellitus self-management. The PubMed, Medline, CINHAL, Scopus and Web of Science databases were searched for randomised control trials of type 2 diabetes mellitus (T2DM) self-management and HL published between 2009 and 2018. Fourteen randomised control trials were included in this review. Our findings showed that HL was instrumental in improving diabetes knowledge, physical activity, self-efficacy and quality of life; however, its associations with glycaemic control, self-monitoring of blood glucose, foot care and medication adherence was inconclusive. Customized and community-based HL interventions were more efficient compared to patient-focused HL interventions. This review concludes that HL is key for T2DM self-management, but customised, structured and community-based interventions are more likely to yield better outcomes.

scholarly journals Association of health literacy and self-management practices and psychological factor among patients with type 2 diabetes mellitus in Saudi Arabia

2019 ◽  
Vol 40 (11) ◽  
pp. 1158-1166
Author(s):  
Turky Almigbal ◽  
Khalid Almutairi ◽  
Jason Vinluan ◽  
Mohammed Batais ◽  
Abdulaziz Alodhayani ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Saudi Arabia ◽  
Health Literacy ◽  
Management Practices ◽  
Psychological Factor ◽  
Self Management

scholarly journals Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1734
Author(s):  
Eun-Hyun Lee ◽  
Young Whee Lee ◽  
Duckhee Chae ◽  
Kwan-Woo Lee ◽  
Seongbin Hong ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Literacy ◽  
Social Isolation ◽  
Indirect Effect ◽  
Self Efficacy ◽  
Self Management ◽  
Mediation Model ◽  
Cross Sectional ◽  
Management Interventions

Health literacy is considered to be an emerging determinant of health behaviors and outcomes. The underlying mechanisms linking health literacy to diabetes self-management are currently unclear. This study assessed a mediation model consisting of a direct pathway between health literacy and self-management, and indirect pathways via social isolation only, self-efficacy only, and social isolation and self-efficacy serially in people with type 2 diabetes. A cross-sectional design was employed, and a total of 524 participants were recruited from outpatient clinics of multi-institutions from June 2020 to February 2021. The mediation model was analyzed using the PROCESS macro on SPSS with bootstrap bias-corrected 95% confidence intervals (CIs) with 10,000 bootstrapping iterations. Health literacy positively affected self-management. The estimated indirect effect of health literacy on self-management via social isolation was significant, at 0.018 (95% CI = 0.004–0.036). The indirect effect via self-efficacy was estimated at 0.214 (95% CI = 0.165–0.266). The indirect effect via social isolation and self-efficacy serially was 0.013 (95% CI = 0.006–0.023). The findings of this study suggest that clinical practice can be improved through more comprehensive diabetes self-management interventions that promote all of the components of health literacy, social contacts/networks, and self-efficacy in particular.

Listening to patients’ voices: Linguistic indicators related to diabetes self-management

2013 ◽  
Vol 9 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Ulla Connor ◽  
Marta Antón ◽  
Elizabeth Goering ◽  
Kathryn Lauten ◽  
Paris Roach ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Self Management ◽  
Medical Professionals ◽  
Patient Interview ◽  
Coding Systems ◽  
Wide Range ◽  
Control Orientation ◽  
Linguistic Coding ◽  
Depth Interviews

A great deal of research in health care has examined a wide range of variables to better understand the degree to which patients follow the advice of medical professionals in managing their health, known as adherence. This paper explains the development of the linguistic systems to describe and evaluate two psychosocial constructs (i.e. control orientation and agency) that have been found to be related to adherence in previous research for subjects with diabetes (Trento et al. 2007; Wangberg 2007; O’Hea et al. 2009). The present data came from 43 semi-structured in-depth interviews of subjects with Type 2 diabetes. One-on-one interviews with open-ended questions elicited subjects’ ‘stories’ about living with diabetes, and the transcribed interviews were analyzed to develop the linguistic systems of control orientation and agency. The resultant systems were applied to the 43 interviews by raters with high inter-rater reliability. The results showed demarcations of clearly identified codings of patient types. The paper presents the linguistic coding systems developed in the study, the results of their application to the patient interview data, and recommendations for improved communication with patients.

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